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OSF deploys care transition program, reduces readmission rate from 29% to 9%

Healthcare It News

OSF HealthCare, a health system that serves Illinois and Michigan, had a big challenge: Managing the high rate of patient readmissions from hospitals to skilled nursing facilities and eventually to home care. THE PROBLEM This issue stemmed largely from gaps in continuous care during transitions between these settings.

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PointClickCare & C3HIE: Leveraging ADT & SNF Data for Improved Care Coordination

HIT Consultant

This growth has amplified the need for real-time notifications to providers and care managers to improve care coordination and delivery.

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Prisma Health & Bamboo Health Partner to Deliver Real-Time Patient Intelligence Across South Carolina

HIT Consultant

What You Should Know: – Prisma Health , South Carolina’s leading healthcare organization, has announced an expanded collaboration with Bamboo Health , the leader in Real-Time Care Intelligence™. By doing so, they can truly become an integrated extension of our care team, enabling us to deliver better outcomes and lower costs.”

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UHF Highlights Methods to Improve SNF-to-Home Transitions

Home Health Care

Transitions of care involving seniors — especially those with multiple chronic conditions — can be risky. Despite this, there are a number of methods skilled nursing facilities (SNFs) and other health organizations can adopt to improve the transition from inpatient care to home for patients and their caregivers.

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State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities 

NASHP

References : Under CalAIM, Medi-Cal managed care plans (MCPs) became responsible for providing LTSS services that were traditionally provided under fee-for-service (FFS) in January 2023. pdf On October 1, 2023, Virginia Medicaid combined its two managed care programs of Medallion 4.0

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The Future of Aging Policy: A Snapshot of State Priorities

NASHP

As states navigate current fiscal constraints, state policymakers are focusing on helping older adults remain in home-and community-based settings for as long as possible while also potentially reducing costly hospital and nursing home services. Reconceptualizing Nursing Home and Assisted Living Service Models. Food: With nearly 9.7

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How Effective Patient Communication Boards Improve Safety & HCAHPS Scores

Readiness Rounds

PATIENT SAFETY: Patient communication boards improve patient safety in hospitals in several ways: Enhance Communication Between Patient and Care Team: These boards enhance communication between patients, nurses, doctors and other hospital staff by providing a consistent visual and accessible means of conveying important information.